HomeMy WebLinkAbout13-13801 CITY OF ZEPHYRHILLS
5335-8TH STREET
(sis)�so-oozo 13801
BUILDING PERMIT
Permit Number: 13801 Address: 6234 SILVER OAKS DR
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-012A-00000-0130
Improv. Cost: 6,025.00
Date Issued: 1/28/2013 Name: BERRY, JEFFREY& JUDITH
Total Fees: 105.00 Address: 6234 SILVER OAKS DR
Amount Paid: 105.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/28/2013 Phone: (813)714-3271
Work Desc: REPLACE 11 WINDOWS SIZE/SIZE
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FOOTER BOND DUCTS INSULATED SEWER MISC._
ROUGH ELECTRIC LINTEL MISC MISC_
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC
REINSPEC'RON FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c) when extra inspection
trips are necessary due to any one of the following reasons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d)work not ready for
inspection when called e) permit not posted on job site� plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to rewrd a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
a
ONT R SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-81:)-780-0021
Building Departrnent
Date Raeefved Phone Contactfor Permitting /
Er Er rt rr rsi tr
Ownefs Name �� U�=�s1 �� Owner Phone Numbar w 3����r�2��
Owner's Address �oZ.�} �LYER ORKS �'R� Owner Phone Number �
Fee Simple Titleholder Name � Owner Phone Number �__ �
Fee Simple Titleholder Address �
JOBADDRESS �Z3� yLVER ��KS �• � LOT# C'�
SUBDIVISION �V� (J�5 PARCELID#�3���ZI�OIZ�,�dQ����OI�
(OB'fA1NED FROM PROPERTY TAX NOTIGE)
WORK PROPOSED e NEW CONS7R e ADDIALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER �
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q �-�
DESCRIPTION OF WORK 1��� l �-=���`S �� �R 'SSZE �
BUILDING SIZE � SQ FOOTAGE� HEIGHT �
TTR�T!'rn�!"P'r!'TTPrR�r!" T�R�TTr�'/'f� rtRTTrr
QBUILDING 3 /_/!�� �'' VALUATION OF TOTAL CONSTRUCTION �j/ ��y)r
�O v '/L v-
�f'�
�ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ n �,.��,f-j�/
' n/" �h v ��w�n ` /
QMECHANICAI $ VALUATION OF MECHANICAL INSTALLATION � C�'II Q V l '��'O�'f "
V � ��\Y
�GAS Q ROOFING Q SPECIALTY Q OTHER ��7j; �. t <� ~
�%
FINISHED FLOOR ELEVATIONS FIOOD ZONE AREA DYES NO 3 ��
'w'.i..'w6.L�..S.S.: wL.` �..:i P.'.ww�.� � �..��.:.:.:.�wi.
BUILDER +y / � ��COMPAN`f v�S� �S, �K�• �
SIGNATURE �V � REGISTERED Y/ N FEE CURREh Y/N
Address �� 3 A�.�� fl� �� � License# lipCi(ZS'r7�l6j �
ELECTRICIAN COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURREI. Y!N
Address License# �
PLUMBER COMPANY �
SIGNATURE RECa1STERED Y/ N FEE CURRE� Y 1 N
Address License tf �
MECHANICAL COMPANY �
SIGNATURE REGISTERED Y 7 N FEE CURRE� Y/N
Address License fk �
OTHER COMPANY �
SIGNATURE REGISTERED Y I N FEE CURREA Y/N
Address License# �
t 1 E 1 l 1 E 1 ! 1 / I 1 1 1 [ 1 { 1 1 1 F 1 �1 1 I 1 f 1 t 1 i 1 l 1 I t 1 1 1 t 1 f 1 1 1 E 1 1 E 1 1 1 [1 ! 1 1 1 [1 f f 1 1 1
RESIDENTIAL Attach(2)Plot P�ans;(2)sets of Building Plans;(1)set of Energy Fortns;RA-W Permit for new construction.
Minimum ten(10)working days aRer submittal date. Required onsite,Construction Plans.Stormwater Plans w!Silt Fence installed,
Sanitary Facilities 8 1 dumpsler:Site Work Permit for subdivisions/large projects
COMMERCIAL Atlach(3)complete sets of Building Plans plus a L'rfe Safety Page;(1)set of Energy Forms.R-0-W Pertnif for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster Site Work Pertn@ for all new projects.All commercial requirements must meet complrance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW conslruction.
�.i.�i..i-i-f-4-i�F��-1- i-Ff-1-�{-F�4.i.i.•i.�4-r-1-l-i- f-4•t-id--i.i-i.i-�i.�-i-1-H-i�d-i�-f-i�-
Diredlons:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over 52500,a Notice of Commencament is required. (AIC upgrades over=7500)
" Agent(for the conVactor)or Power of Attorney(for the owner)vrould be somaone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for complianca with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009 Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the
contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07,as amended. The undersigned also understands,that such fees,as may be due,wili be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"ce�tificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 773,Florida Statutes,as amended): If vatuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—IHomeowners
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owne�',I certify that I have obtained a copy of the above described document and promise iri good faith to
deliver it to the"owne�'prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate anci that all work
will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. i also
certiiy that 1 understand that the regulations of other govemment agencies may apply to the intended work,and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/WastewaterTreatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalis,Docks,Navigable Watervvays.
- DepaRment of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage pian addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction,I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill wiil not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached permit applicaGon,for lots less than one(1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or
set aside any provisions of the technical codes,nor shatl issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commanced. An extension
may be requested, in writing,from the Building O�cial for a period not to exceed ninety(90)days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03 I �
!G—..
OWNER OR AGENT� CONTRACTOR= G __
Subs bed nd swo t affi ed)before this Subscribed and swo t (o afirmed) org me this
�_�-(' by !1 �r. -22-3 by QA ✓. ---
�Wh �Iare personally known to m or haslhave produced h s! re p¢rsonalty known to m or haslhave produced
L-. L.l�feti�._____as identification. �U Cf?�5--_______as idenUfication.
lic Notary Public
co ' io„ �* mmfss--� Commi�i "�!+*� "' JACQUELINE BOGES_ _
' p res becember 12,2014 :•: :� Commiss n��040520
�-- w� �� -- -- - � " —
Na ��Q '
'�� �� � Nameof ��^ y�y�gpQ3grr701t3
�nu�``
� �
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
C�ntract�
r/Homeowner: � �' V� `` �� ��'�'"� �.
Date Received: �� 2 2 � �.�
Site: �p2�3� �Sr J(/� �GZ�S �r`
Permit Type: l��IcCC`F' ( l (�c�t�4�5 ',`�! Ze�C�r Zr�
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
_�
Kal n S ' — lans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
NDOW � ooR
InstaCting �I"rust One zNindow at a 7ime
6025 US HWY 301 NORTH *TAMPA,FLORIDA 33610
(813)626-7676
REPLACEMENT CONTRACT
CLIENT NAME J Er� �( J U,t,)S'� ����. DATE PHONE �l 3 7BI�7�eZ CJ uAy
STREET �PZ3� �YF� �S �1Z'�V�- JOB NAME BJ3 ���7�-327� CJ�"�
CITY,STATE,ZIP Z f�TLLS � 337"l2 JOB LOCATION
We propose to do the following:
1. Minor patch and repair to plaster and stucco as needed due to removal of the old window units.
2. Seal the inside and outside with white/bronze acrylic polyurethane caulk.
3. Haul off old window frames, glass and debris directly related to the removal of the old window units.
4. No touch up painting to be done by Canollwood Window &Door, Inc. installers.
5. No final glass cleaning to be done by Carrollwood Window & Door, Inc.
6. Carrollwood Window & Door, Inc. and our employees shall not be deemed responsible for extra cost
associated to prior damage to sills, plaster, stucco, framed openings, or other construction materials as a
result of water, termites, other subs, settling cracks, etc.
7. Note any special conditions: ��'LE �� k/�/.l � �GT'S S��GY� S�fI�S �
�f_.S'cr?�8� on/ aud� � Zalyy2 �...� 1 � �z
After acceptance by all parties, this document shall be considered a binding contract. In the event that it shall
become necessary to employ an attorney to collect any amount due under this contract, thE�n Client will be liable for
attorney's fees and costs incurred in such collection.
All prices are based on our current price schedule and will remain firm for 30 days.
We propose to furnish material and labor complete in accordance with above specifications for the
sum of: ($ (,42� 95 ). Payment to be made as follows: 50% deposit upon
placement of the order with the balance due in full upon completion of the work.
All material is to be as specified. All work to be completed in a professiona!manner according to standard,practices. Any alteration or
deviation from above specifications involving eztra costs will be executed only upon written orders and will become an extra charge above
the estimate.
Acceptance of Proposal: the above prices, specifications and conditions are satisfactory and are
hereby accepted. You are authorized to do the work as specified. Payment will be made as
outlined above.
Date of Acceptance: Signature: C���`''' � �
i
Signature:
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2013011234
Rept:1490268 Ree: 10.00
DS: 0.00 IT: 0.00
01/18/13 K. Kraengel , Dpty Clerk
NO'ITCE OF COMMENCEMENT
PRULR S 0'NEIL,Ph D PASCO CLERK & COMPTROLLER
Permit No.
, 01�1a�13 8815 1 °f 1352
Property Identification No.d3-�10-2/^�12A1 Q�G1d0-O!30 OR BK P�
7�UNDERSIGNID Lereby gives notice thaR improveme�will be made to cxttain real properiy,and in accordance with Section
713.13 of the Florida Statutes,the foltowing infotmaaon is provided in this NOTICE OF CO�NCEMEN'P
1.Description of property(l�gnl : SSL1/FiQ � F �/� L-� �3
a)SVeet Address: flR.
2.General descriptioa of improv�_ E /( ZE
3.o,�8����a�_�E��`�uasn! 3E�y �23y Ss�vF.2 C�+.xs � Z�tY�us, r 3354�2
b)Name and address of fee simpNE�otder(if ot6er than owner)
c)I�erest in ProP�Y
a.coa��o��� C�v�san(/�s' T,�c. l�l.�/3 yA�� Y�e, %��� ,�S 33G/S
b)Telephone No.: 1 Fa�c No.(Opt)
5.Stuery Information
a)Name and address:
b)Amomt of Bond:
c)Telephone No.: Fax No.(OpL)
6.Lender
a)Name and addcess:
Phone No_
7 Iderrtity of person within the State of Florida desigoated by owner upon whom notices or other documents may be served:
a)Name and address:
b)Telepfione No.: Fax No.(Opt)
8.In addition to himsel�owper desigo�the following person to�eceive a copy of the Lieno�s Notice as provided in Section
713 13(1)(b),Florida Statute.s:
a)Name and address:
b)Tekphone No.: Fa�c No.(f�t)
9.Expiration da6e of Natice of Commencement(the expiration date is one year from tbe date of recording unless a different date is
SpeciSed):
VYARNING TO OWNER: APIY PAYMENTS MADE BY THE OWNP.R AFTER THE E71�IRATION OF THE NOTICE OF
CObII11F,NCEMRNT ARE CONSIDERED IIKPROPER PAYA�IVTS UNDLR CHAP1'ER 713,PAR1'I,SF.Cl'ION 713.13,
PLORIDA STATUTFS Ad�ID CA�1 RESQLT H�i YOIIR PAYH�IG TWICE POR IIIRPROVEdYIFXFS TO YOUR PROPEiiTY.
A N077CB QP MtAT BERECORDED AlYD YQ6TED tHY 1�JOBSICE BSFORE THE FIRST
Il�FSPF.(.TION IF YOII IIV�iD TO OBTAIlY PH�iA1�iCHVG,CONS[3I.T YODB LE1�iDLB OR AN ATTORNEY BEFORE
CObII1�VCIl4G WOItK OB RECORDING YOUR NOTICE OF COM1YiEiVCE1�'1'.
3TATl OF FIARIDA
COUNl'Y OF P.SSCO
o eeuerw� s}1�! needpffir Ri' xpri!�mgr
AIDt Name
iego" � trumeat wa4 aclmowledged befoie me this�day of � 20�by
"t�7 G as of authority,e.g.officer,trastee,attomey
in 1'act)for �(name of pariy oa b w �nt waa exeated)_ ,
� �.�1
Personally Known_OR Prodnced Ideutifiwtion_ Notazy SignaUue J'�i�
�
Type of Ide,�'t�"ication Prodpced Name(prmt) �v 1Jt Tll �, ���'«r
Verification piusuant to Sectian 92.525,Florida Statutes Under penalties 'ury,i�(�re that I havc read the foregoing and that
tI�e facts sFated in it ace trne w the best of ury knowledge and beiief. -
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f:ar����i1,N��i7p..��c� BCIS Home Log In User Registra[ion � Hot 7op�cs Submit Surcharge S[a[s&Fac[s Publicatlons FBC StaH BCIS Site Map Links Search
Busines �",��
Professi���� Product Approval
USER.Publi[User
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•� Produc[Aooroval Menu>Produc[or Aoolicat(on Search>Aooli�h15t>Adplication Detsil
f
��II� Application Type f Rev�sionRlO I
f
Code Version 2010 �
Application Status Approved
*Approved b�DCA. Approvals by DCA shall be reviewed and
ratlfied by tHe POC and/or the Commission if necessary.
Comments f
Archived
Product Manufacturer PGT Industries
Address/Phone/Email 1070 Technology Drive
Nokomis, FL 34275
(941)486-0100 Ezt22318
d ru a rk @ pgti n d ustri es.co m
Authorized Signature Jens Rosowski
irosowski@pgtindustries.com
�
Technical Representative ]ens Rosowski
Address/Phone/Email 1070 Technology Drive
Nokomis, FL 34275
(941)486-0100 Ext21140
jrosowski@pgti ndustries.com
~,�� ., .
Quality Assurance Representatfve '� . • /``�
Address/Pho�e/Emafl =�'i� r `�J `�
.%'4� �
�
Category W indows �
Subcategory Single Hung _ /�
Compliance Method Certification Mark or Listing
CertiFlcation Agency Keystone Certificatlons,Inc.
Validated By Steven M. Urich, PE
_ Validation Checklist-Hardcopy Received
Referenced Standard and Year(of Standard) Standard Year
AAMA/WDMA/CSA 101/IS2/A440 2005
AAMA/WDMA/CSA 101/IS2/A440 2008
ANSI/AAMA/WDMA 101/I.S.2/NAFS 2002
ASTM E1886 2005
ASTM E1996 2002
ASTM E283 2004
ASTM E330 2002
Equlvalence of Product Standards
Certified By
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqsbCUITILe120... 12/11/2012
r ioriaa tsuiiamg �,ode Unline Page 2 of 3
Product Approval Method Method 1 Option A
Date Submitted 08/16/2012
Date Validated 08/21/2012
Date Pendfng FBC Approval
Date Approved 08/23/2012
Summary of Products
FL# Model,Number or Name Description
1435.1 SH-200 Prev.4000 Aluminum Sin le Mun Wfndow Inc. Pass-Thru
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No F11435 R10 C CAC SH-200 Certification B.odf
Approved for use outside NVHZ:Yes Quality Assurance Contrad Expiratfon Date
Impact Resistant: No 02/16/2013
Design Pressure: N/A Installation Instructions
Other: Please see the Installation Instructions for FL1435 R10 II SH-200 b.odf
design pressure,size and anchorage Information.The Verifled By. A. Lynn Miller, PE 58705
Pass-Thru version was not tested for water infiltratio�. Created by Independent Third P�rty. No
Evaluatio�Reports
FL1435 R10 AE Prod Eval-SH 2O0.odf
Created by Inde endent Third Party. No
1435.2 SH-400 Vinyl Single Hun Window
Umits of Use Certiflcation Agency Certiflcate
Approved for use in FIVHZ: No FL1435 R10 C CAC 190-777.�df
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant: No 01/21/2015
Design Pressure: N/A Installation Instructions
Other: Please see the Installation Instrud(ons for FL1435 R10 II SH-400.Ddf
design pressure,size and anchorage Information. Verifled By: A. Lynn Miller, PE 58705
Created by Independent Third P3rty: No
Evaluation Reports
FL1435 R10 AE Prod Eval-SH 400.pdf
Created by Independent Third Party: No
1435.3 SH-500 WlnGuard Vinyl Sin le Hung Wfndow
Limits of Use Certification Agency Certtflcate
Approved for use in HVHZ: No FL1435 R30 C CAC SH-500 Certification B.odf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:Yes 08/27/2014
Design Pressure: N/A Installation Instructions
Other: Please see the Installation Instructlons for FL1435 R10 II SH-500.�df
design pressure,size and anchorage information. VeriFled By: A. Lynn Miller, PE 58705
Created by Independent Third Party: No
Evaluation Reports
FL1435 R10 AE Prod Eval-SH 500.odf
Created b Inde endent Third Pa • No
1435 4 SH-800 WinGuard Multistory Aluminum Single Hung Window
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL3435 R10 C CAC 190-427.O.�df
Approved for use outside HVHZ:Yes FL3435 RSO C CAC 190-428.O.odf
Impact Resistant: No Quality Assurance Contract Expiration Date
Design Pressure: N/A 09/07/2013
Other: Please see the Installatfon Instructions for Installatton Instructions
design pressure, size and anchorage information. FL3435 R10 II SH-800.odf
Verifled By: A. Lynn Miller, P.E. 58705
Created by Independent Third Party: No
Evaluation Reports
FL1435 R10 AE Prod Eval SH-800.odf
Created b Inde endent Third Pa . No
1435.5 SH-2100 Vinyl Sin le Hung Window
Limits of Use Certiflcation Agency Certiftcate
Approved for use in HVHZ: No FL1435 R10 C CAC SH-2100 Certifications B.odf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant: No 03/18/2013
Design Pressure: N/A Installation Instructions
Other: Please see the Installation Instructlons for FL1435 R10 II SH-2100.�df
design pressure, size and anchorage Information. Verifled By: A. Lynn Miller, P E. 58705
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqsbCUITI<:e120... 12/11/2012
r ionaa tsuiiaing Lode Unline Page 3 of 3
Created by Independent Third Party: No
Evaluation Reports
FL1435 R10 AE Prod Eval-SH 2100.odf
Created b Independent Third Party: No
1435.6 SH-2200 Vinyl Single Hung Window
Limits of Use Certiflcation Agency Certificate
Approved for use in HVH2: No FL1435 R10 C CAC SH-2200 Certifications.�df
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant: No 10/21/2013
Design Pressure: N/A Installation Instructions
Other: Piease see the Installatfon Instrudlons for FL1435 R10 II SH-2200.odf
design pressure,size and anchorage informatlon. VerlFled By: A. Lynn Miller, P.E. 58705
Created by Independent Third Party: No
Evaluation Reports
FL3435 R10 AE Prod Eval SH-2200.odf
Created by Independent Third Party: No
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ConWCt Us: 1940 North Monroe Street,Tallahassee FL 32399 Phone:850-487-1824
The State of Florida is an AA/EEO employer Coovrlaht 2007-2010 Sta[e of florida. Privaw Statement::Accessibiliri:ita[ement Refund Statement
Under Florida law,email addresses are public records.If you do not want your e-mail address rcleased in response to a public-records request,do not
send elec[ronic mall to this entity Instead,rnnWR[he office by phone or by tadltional mail.If you have any questlons,.please contac[850.487.1395.
*Pursuant to Sectlon 455.275(1),Florlda Statutes,efFec[Ive OROber 1,2012,Iicensees Iicensed under Chapter 455,F.S.must provide the Department
with an email address if they have one.7he emails provided may be used for offidal rnmmunlcation with the Iicensee.However email addresses are public
remrd.tf you do not wish to supply a personal address,please provide the Department wfth an email address which can be made available to the public.
7o determine If you are a licensee under Chapter 455,F.S.,please dick here
Product Approval Accapts:
� � � �
secur'j •att.rnia:s'
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: : ' t � . ' ' � 1
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F,����� fir�,c�tv BCIS Home Log In � User Registre[lon ,Ho[Topics Submit Surcharge Sta[s&Fac[s Publications FBC SWff BCIS Site Map Links Search
�:�
Busines ��}
Professi��f�) Product Approval
USER:Public User
Reguldti0n , -'"
� Produc[Aooroval Menu>Product or Aoolication Sear�h>Aooli,�.ation Li�j>Application, tail
���� Appllcation Type ReviOsionR9
Code Verslon 2010
Applfcation Status ( Approved
I ! *Approved by DCA. Approvais by DCA shall be reviewed and
7 ratified by the POC and/or the Commisslon if necessary.
Comments �i
Archived ,
Product Manufacturer Industries
Address/Phone/Emaii 1070 Technology Drive
Nokomis, FL 34275
(941)486-0100 Ext22318
druark@pgtlndustries.com
Authorized Signature Jens Rosowski �
jrosowski @ pgti ndustries.com
�
Technical Representative Jens Rosowski �
Address/Phone/Email 1070 Technology Drive
Nokomis, FL 34275
(941)486-0100 Ext21140
jrosowski@pgtlndustries.com
Quality Assurance Representative k
Address/Phone/Emait � , ' � � � '�Z� ^ ,�
± � `
Category Windows - � . � f
i;.',
Subcategory Fixed � ` ;f'�-�-�
. �i, f
Compliance Method Certiflcation Mark or Listing
Certification Agency Keystone Certiflcations,Inc.
Validated By Steven M. Urich, PE
__ Validatlon Checklist- Hardcopy Recefved
Referenced Standard and Year(of Standard) Staadard Year
AAMA 506 2008
AAMA/WDMA/CSA 101/IS2/A440 2005
AAMA/WDMA/CSA 101/IS2/A440 2008
ANSI/AAMA/NWWDA 101 I.S.2 1997
ASTM E1886 2002
ASTM E1886 2005
ASTM E1996 2002
Equivalence of Product Standards
Certified By Florida Licensed Professional Engineer or Architect
FL5012 R9 Equiv 1996-OS to 02 Equiv�df
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqtU0E2x88XL... 12/11/2012
Florida Building Code Online Page 2 of 4
Product Approval Method Method 1 Option A
Date Submitted 06/O6/2012
Date Vatidated 06/li/2012
Date Pending FBC Approval
Date Approved 06/19/2012
Summary ot Products
FL# Model,Number or Name Descri tion
5012.1 CA-440"O" Vinyl Fixed Casement
Limits of Use Certification Agency Certiflcate
Approved for use in HVHZ: No FL5012 R9 C CAC 190-795CAR.odf
Approved for use outside NVHZ:Yes FL5012 R9 C CAC 190-796CAR.�df
Impact Resistant: No Quality Assurance Contract Expiration Date
Desfgn Pressure: N/A 10/28/2015
Other: Please see the Installation Instrudions for Installation Instrudions
design pressure,size and anchorage informatton. FL5012 R9 II CA-440 O.odf
Verifled By: A. Lynn Mlller, PE 58705
Created by Independent Third Party: No
Evaluation Reports
FL5012 R9 AE Prod EvaI-CA-440 O.pdf
Created b Independent Third Pa : No
5012.2 CA-540"O" WlnGuard Vinyl Fixed Casement
Llmits of Use Certiflcatfon Agency Certificate
Approved for use in HVHZ: No FL5012 R9 C CAC 190-270IG4R.odf
Approved for use outside HVHZ:Yes FL5012 R9 C CAC 190-795CAR.pdf
Impact Resistant:Yes FL5012 R9 C UC 190-796CAR.odf
Design Pressure: N/A Quality Assurance Contract Expiration Date
Other: Please see the Instal�ation Instructions for 10/28/2015
design pressure,size and anchorage information. Installatlon Instructions
FL5012 R9 II CA-540 O.odf
Ve�ifled By: A. Lynn Miller,PE 58705
Created by Independent Third Party: No
Evaluation Reports
FL5012 R9 AE Prod EvaI-CA-540 O.odf
Created b Inde endent Third Pa : No
5012.3 CA-640"O" Aluminum Fixed Casement
Limits of Use Certification Agency Certiflcate
Approved for use in HVHZ: No FL5012 R9 C CAC 190-490CAR.�df
Approved for use outstde HVHZ:Yes Quality Assurance Contrad Expiration Date
Impact Resistant: No 02/25/2013
Design Pressure: N/A Installation Instructions
Other: Please see the Installation Instructions for FL5012 R9 II CA-640-O.odf
design pressure, size and anchorage informatlon. Verified By: A. Lynn Mfiier, PE 58705
Created by Independent Third Party. No
Evaluation Reports
FL5012 R9 AE Prod Eval-f 64U.pdf
Created by Inde endent Third Party: No
5012.4 PW-220 formerl F-6000/6001 Aluminum Fixed Window
Limits of Use Certiflcation Agency Certificate
Approved for use In HVHZ: No FL5012 R9 C CAC PW-220 Certiflcations.�df
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant: No 10/24/2013
Design Pressure: N/A Installation I�structions
Other: Please see the Installatlon Instrudions for FL5012 R9 II PW-220.�df
design pressure,sfze and anchorage information. Verified By: A. Lynn Mlller, PE 58705
Created by Independent Third Party: No
Evaluation Reports
FL5012 R9 AE Prod Eval PW-Y20.odf
Created by Independent Third Party: No
5012.5 PW-420 Vinyl Fixed Window
Limits of Use Certiflcation Agency Certificate
Approved for use in HVHZ: No FL5012 R9 C CAC 190-423.odf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant: No 08/01/2013
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqtU0E2x88XL... 12/11/2012
Florida Building Code Online Page 3 of 4
Design Pressure: N/A Installation Instructions
Other: Please see the Installation Instrudions for FL5012 R9 II PW-420.�df
design pressure, size and anchorage Information. Verifled By: A. Lynn Miller, PE 58'705
Created by Independent Third Party: No
Evaluation Reports
FL5012 R9 AE Prod Eval PW-420.odf
Created b Inde endent Third Pa : No
5012.6 PW-520 WinGuard Vin I Fixed Window
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL5012 R9 C CAC Certification- PW-520 C.�df
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:Yes 08/15/2014
Design Pressure: N/A Instailation Instructions
Other: Please see the Installation Instrudions for FL5012 R9 II PW-520.odf
design pressure,size and anchorage information. Verified By: A. Lynn Miller, PE 58705
Created by Independent Third Party: No
Evaluatfon Reports
FL5012 R9 AE Prod EvaI-PW-520.odf
Created by Independent Third Party: No
5012.7 PW-2300 Vin I Fixed Window with Inte ral Nailin Fin
Limits of Use Certiflcation Agency Certificate
Approved for use in HVHZ: No FL5012 R9 C CAC 190-457CAR.�df
Approved for use outside HVH2:Yes FL5012 R9 C CAC 190-458CAR.�df
Impact Resistant: No Quality Assurance Contract Expiration Date
Design Pressure: N/A O1/25/2014
Other: Please see the Installation Instrudions for Instailation Instructions
deslgn pressure, size and anchorage information. FL5012 R9 II PW-2100.Ddf
Verifled By: A. Lynn Miller, P.E. !i8705
Created by Independent Third Party: No
Evaluation Reports
FL5012 R9 AE Prod Eval-F 2100.odf
Created by Independent Third Party: No
5012.8 PW-2160 Vinyl Fixed Window with Inte ral Nailin Fin
Limits of Use Certification Agency Certificate
Approved for use tn HVHZ: No FL5012 R9 C CAC 190-457CAR.odf
Approved for use outside HVH2:Yes FL5012 R9 C CAC 190-458CAR.odf
Impact Resistant: No Quality Assurance Contract Expiration Date
Design Pressure: N/A OS/25/2014
Other: Please see the Installation Instructions for Instailation Instructions
design pressure, size and anchorage information. FL5012 R9 II PW-2160.odf
Verifled By: A. Lynn Miller, P.E. 58705
Created by IndependentThird Party• No
Evaluation Reports
FL5012 R9 AE Prod Eval-F 2160.odf
Created by Independent Thfrd Party: No
5012.9 PW-2200 Vin I Fixed Window
Limits of Use Certiflcation Agency Certiflcate
Approved for use in HVHZ: No FL5012 R9 C CAC 190-709CAR.odf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant: No 10/14/2013
Design Pressure: N/A Installation Instructions
Other: Please see the Installation Instructlons for FL5012 R9 II PW-2200.�df
design pressure, size and anchorage information. Verffled By: A. Lynn Mfller, P.E. 58705
Created by Independent Thfrd Party: No
Evaluation Reports
FL5012 R9 AE Prod Evdl PW-2200.Ddf
Created by Independent Third Party: No
5012.10 PW-2260 Vlnyl Fixed Window
Limits of Use Certiflcatlon Agency Certificate
Approved for use in HVHZ: No FL5012 R9 C CAC 190-710CAR.pdf
Approved for use outside HVHZ:Yes FL5012 R9 C CAC 190-711CAR.odf
Impact Reslstant: No QuaUty Assurance Contract Expiration Date
Design Pressure: N/A SO/14/2013
Other: Please see the Instailation Instructions for InsWllation Instructions
design pressure,size and anchorage informatlon. FL5012 R9 II PW-2260.odf
Verifled By: A. Lynn Miiler, P.E. 58705
Created by Independent Third F�arty: No
Evaluation Reports
FL5012 R9 AE Prod Eval PW-2260.odf
Created by Independent Third Party: No
5012.11 PW-2320 Vin I Ffxed Window
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL5012 R9 C CAC 190-476CAR.odf
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqtU0E2x£i 8XL... 12/11/2012
Florida Building Code Online Page 4 of 4
Approved for use outside HVHZ:Yes Quality Assurance Contrad Expiration Date
Impact Resistant: No 02/04/2013
Design Pressure: N/A Installation Instrudions
Other: Please see the Installation Instructions for FL5012 R9 II PW-2320.odf
design pressure,size and anchorage Information. Verified By. A. Lynn Miller, P.E. 58705
Created by Independent Third Party: No
Evaivation Reports
FL5012 R9 AE Prod Eval PW-2320.�df
Created by Independent Third Party: No
5012.12 PW-2720 PremierVue Vinyl Fixed Window
Limits of Use Certificatlon Agency Certiflcate
Approved for use in HVH2: No FL5012 R9 C CAC 190-253ICAR.pdf
Approved for use outside HVHZ:Yes FL5012 R9 C CAC 190-254ICAR.�df
Impact Resistant:Yes FL5012 R9 C CAC 190-760CAR.odf
Design Pressure: N/A FL5012 R9 C CAC 190-761CAR.odf
Other: Please see the Installation Instructions for Quality Assurance Contract Expiration Date
design pressure,size and anchorage Information. 05/30/2014
Installation Instrudions
FL5012 R9 II PW-2720.�df
Verifled By:A. Lynn Mtller,P.E. 58705
Created by Independent Third Party: No
Evaluatlon Reports
FL5012 R9 AE Prod Eval-PW 2720b.odf
Created b Independent Third Party: No
5012.13 PW-2820 PremieNue Vinyl Fixed Window
Limits of Use Certtflcation Agency Certificate
Approved for use in HVHZ: No FL5012 R9 C CAC Certifications PW-2820.pdf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:Yes O1/28/2014
Design Pressure: N/A Installation Instrudions
Other: Please see the Installation Instructions for FL5012 R9 II PW-2820.odf
design pressure,size and anchorage informatlon. Verifled By: A. Lynn Mlller, P.E. 'i8705
Created by IndependentThird Party: No
Evaluation Reports
FL5012 R9 AE Prod Eval PW-2820.�df
Created by Independent Third Party: No
5012.14 PW-3020 Architectural Systems Aluminum Fixed Window
Limits of Use Certification Agency Certtficate
Approved for use in HVHZ: No FL5012 R9 C CAC Certifications.odf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:Yes 09/11/2014
Design Pressure: N/A Installatfon Instructions
Other: Please see the Installation Instructions for FL5012 R9 II PW-3020.odf
design pressure, size and anchorage Information. Verifled By: A. Lynn Mllier, PE 58705
Created by Independent Third Party: No
Evaluation Reports
FL5012 R9 AE Prod Eval PW-3U20.odf
Created by Independent Third Party: No
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ContaR Us 1940 North Monroe Street.Tallahassee FL 32399 Phone:850-487-1824
The SWte of Florida is an AA/EEO employer Coovriaht 2007-2010 State of Florida.: Privacv Statement AccessibilfN Statement Refund Statement
Under Florida law,email addresses are public records.1f you do not want your e-mail address released in response to a public-records request,da no[
send electronic mail to this en[fry Instead,contaR the oRice by phone or by traditlonal mail.If you have any ques[lons,please contact 850.487.1395.
*PUrsuant to Sec[lon 455.275(1),Florlda Stafutes,effective October 1,2012,1{censees Ilcensed u�der ChaDter 455,F.S.must proWde[he Department
with an email address if they have one.The emails provided may be used for otflGal communicatlon with the Iicensee.However email addresses are public
record.If you do not wish to supply a personal address,please provide the Department with an email address which can be made available to[he public.
To determine ff you are a Iicensee under CAapter 455,F.S.,please dick here
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Professi��a� Product Approval
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Product Ao�roval Menu>ProduR or Aoolicatiq,n Search>AoolicaUOn List>ApDlication Detail
FL# FL13867-R3
'�' �� y ApplicationType Revision
���� Code Version 2010
Application Status Applied For
Comments Reviewed 2/21/12, r-a 02/22/12
Archived _.
Product Manufadurer PGT Industrfes
Address/Phone/Email 1070 Technology Drive
Nokomis, FL 34275
(941)486-0100 Ext 22318
druark@pgti ndustries.com
Authorized Signature Jens Rosowski
jrosowskl@pgtindustries.com
Technical Representative Jens Rosowski
Address/Phone/Email 1070 Technology Drive
Nokomis, FL 34275
(941)486-0100 Ext21140
jrosowski@pgtindustries.com
Quality Assurance Representative
Address/Phone/Email
Catego ry W indows
Subcategory Mulllons
Compllance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
Evaluation Report- Hardcopy Received
Florida Engineer or Architect Name who A. Lynn Miller
developed the Evaluatlon Report
Flortda License PE-58705
Quality Assurance Entity Keystone Certificatfons,Inc.
Quality Assurance Contract Expiration Date 11/03/2013
Validated By Steven M. Urich, PE
Validation Checklfst- Hardcopy Received
Certificate of Independence FL13867 R3 COI Cert of Indeoendance- Miller.�df
FL13867 R3 COI Cert of Indeoendance- Urich.�df
Referenced Standard and Year(of Standard) Standard Year
AAMA 450 2006
TAS 201, 202, 203 1994
Equivalence of Product Standards
Certified By
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqv%2bFd.42duxg... 4/18/2012
- -a- - --- -
Sections from the Code
Product Approval Method Method 1 Optio� D
Date Submitted 02/10/2012
Date Validated
Summary of Products
FL# Model,Number or Name Description
13867 1 -Aluminum Tube Mullions Mullions for PGT Doors and Windows.
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL33867 R3 II Tube Mullions.odf
Approved for use outside HVHZ:Yes Verifled By: A. Lynn Mfller, P.E. 58705
Impact Resistant:Yes Created by Independent Third Party: No
Design Pressure: N/A Evaluation Reports
Other: See Installatfon Instructions for DP,anchorage FL13867 R3 AE Prod Eval -Standard Mulls,pdf
and size Iimitations. Created by Independent Third Party• No
Back Nert
Contad Us::�940 North Monrce Street.Tallahassee FL 32399 Phone:850-487-1824
The State of Florida Is an AA/EEO employer co.±�d�h*2nn7-?010 S[a[e of Florida. Privacv Statement Accessibilitv Statemen[ Refund SWtement
Under Florida law,e-mall addresses are public records.If you do no[want your e-mail address released in response to a public-records request,do not
send elec[ronic mail to this entity Instead,wnWct the office by phone or by tradltional mail.If you have any questlons reqarding DBPR's ADA web
accessibility,please contact our Web Master at webmasterC�dbor.state.fl.us.
Produd ApDroval Accepts:
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